NPI | 1588760268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL PM 126, DO 136) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL OS9533) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2017-07-27 |